scholarly journals EFFECT OF ACUPUNCTURE ON THE FUNCTION OF THE VISUAL SYSTEM IN PATIENTS OF GLAUCOMA

2018 ◽  
Vol 3 (5) ◽  
pp. 72-75
Author(s):  
I. V. Valueva ◽  
O. Yu. Kirgizova
Keyword(s):  
Intraocular Pressure ◽  
Optic Nerve ◽  
Visual System ◽  
Conservative Therapy ◽  
Open Angle Glaucoma ◽  
Visual Functions ◽  
Severe Stage ◽  
Neuroprotective Therapy ◽  
Adequate Blood Supply ◽  
Made In

At present, significant advances have been made in the surgical and conservative treatment of glaucoma. However, in patients with a prolonged course of the disease, even against the background of normalized intraocular pressure, progressive deterioration of visual functions occurs with the transition of the disease to a more severe stage. Effects directed solely at lowering the intraocular pressure are not able to fully ensure the preservation of visual functions, so its normalization cannot ensure the stabilization of the glaucoma process. Dysfunction of the nervous system and vascular disorders play a significant role in the pathogenesis of glaucoma. In this regard, the treatment of this disease should be comprehensive and include neuroprotective therapy aimed at correction of metabolic disorders that occur in glaucoma in the optic nerve head, improvement of local microcirculation and trophism of tissues, normalization the rheological properties of the blood. Conventional conservative therapy does not provide adequate blood supply to the optic nerve and prevent the deterioration of visual functions in more than half of patients. The purpose of this study was to study the effectiveness of reflexotherapy in patients with glaucoma after surgery and normalization of intraocular pressure. In the study, 18 patients with a diagnosis of primary open-angle glaucoma were treated. It has been established that reflexotherapy improves significantly the functions of the visual system and the general condition, normalizes arterial pressure and psycho-emotional state of patients.

scholarly journals Complex use of energetic surgery in treatment of patients with primary open-angle glaucoma and cataract on the background of pseudoexfoliative syndrome

2021 ◽  
Vol 14 (3) ◽  
pp. 25-34
Author(s):  
Benta G. Dzhashi ◽  
Sergei V. Balalin
Keyword(s):  
Intraocular Pressure ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Hypotensive Effect ◽  
Open Angle ◽  
Selective Laser Trabeculoplasty ◽  
Visual Functions ◽  
Incipient Stage ◽  
Laser Trabeculoplasty

BACKGROUND: Glaucoma remains one of the current problems of modern ophthalmology. The combination of glaucoma and cataract is observed in 1738.6% of cases, and glaucoma with pseudoexfoliative syndrome in 2050% of primary open-angle glaucoma cases. AIM: The aim of this work is to develop an effective and safe technology of complex energetic surgical treatment of the incipient primary open-angle glaucoma stage and cataract on the background of pseudoexfoliation syndrome on the basis of modified laser, hydrodynamic and ultrasound methods use. MATERIALS AND METHODS: 187 patients (187 eyes) with the incipient stage of primary open-angle glaucoma, cataract and pseudoexfoliation syndrome were examined. In the main group (111 eyes), selective laser trabeculoplasty followed by femtosecond laser-assisted cataract surgery with hydrodynamic trabeculocleaning was performed. Patients in the control group (76 eyes), after selective laser trabeculoplasty, underwent phacoemulsification according to the standard technique. RESULTS: The developed technology allowed to reach the hypotensive effect in 35.2% (t=23.0; р 0.001) of baseline intraocular pressure values, of individual intraocular pressure level without adding IOP-lowering medications in 27% of cases, stabilization of visual functions and morphometric indices of the optic disc during 2 years of follow-up in 97.3% of cases unlike the selective laser trabeculoplasty with subsequent phacoemulsification (21.2, 5.3 and 81.6% respectively). The patients of the main group had significantly lower energy expenditure during the stage of phacoemulsification, a lower percentage of postoperative inflammatory reaction was noted, and a persistent hypotensive effect with stabilization of visual functions was achieved based on the results of a two-year follow-up. CONCLUSIONS: Femtosecond laser-assisted phacoemulsification, performed as part of complex treatment in patients with cataract and incipient stage of primary open-angle glaucoma, is a sparing method that minimizes surgical trauma and achieves a persistent hypotensive effect, reduces intraocular pressure to an individual level and stabilizes visual functions in 97.3% of cases.

Adduction-Induced Strain on the Optic Nerve in Primary Open Angle Glaucoma at Normal Intraocular Pressure

2020 ◽  
pp. 1-11
Author(s):  
Robert A. Clark ◽  
Soh Youn Suh ◽  
Joseph Caprioli ◽  
JoAnn A. Giaconi ◽  
Kouros Nouri-Mahdavi ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Optic Nerve ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Open Angle

scholarly journals Optic Nerve Traction During Adduction in Open Angle Glaucoma with Normal versus Elevated Intraocular Pressure

2019 ◽  
Vol 45 (2) ◽  
pp. 199-210 ◽  
Author(s):  
Joseph L. Demer ◽  
Robert A. Clark ◽  
Soh Youn Suh ◽  
Joann A. Giaconi ◽  
Kouros Nouri-Mahdavi ◽  
...  
Keyword(s):  
Intraocular Pressure ◽  
Optic Nerve ◽  
Open Angle Glaucoma ◽  
Open Angle ◽  
Elevated Intraocular Pressure

scholarly journals Сlinical criteria of rational travoprost prescribing in primary open-angle glaucoma

2015 ◽  
Vol 8 (3) ◽  
pp. 57-63 ◽  
Author(s):  
Sergey Viktorovich Balalin ◽  
Viktor Pavlovich Fokin
Keyword(s):  
Intraocular Pressure ◽  
Medical Treatment ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Open Angle ◽  
Visual Functions ◽  
Medical Tests ◽  
Definition Of

The results of the use of travoprost in the treatment of 186 patients with primary open-angle glaucoma (224 eyes). The results confirmed the practical value of medical tests with travoprost and tolerant definition of pressure to select patients on the medication. In order to achieve the stabilization of visual functions needed to fluctuations in intraocular pressure against the background of medical treatment did not exceed the tolerance pressure.

scholarly journals Impact of combination of local carbonic anhydrase inhibitors and beta-blockers on intraocular pressure, visual functions and eye hemodynamics in primary open-angle glaucoma

2021 ◽  
Vol 14 (2) ◽  
pp. 96-102
Author(s):  
T. N. Malishevskaya ◽  
T. N. Kiseleva ◽  
A. S. Vlasova ◽  
E. K. Eliseeva
Keyword(s):  
Blood Flow ◽  
Intraocular Pressure ◽  
Primary Open Angle Glaucoma ◽  
Open Angle Glaucoma ◽  
Beta Blockers ◽  
Visual Fields ◽  
Significant Risk ◽  
Open Angle ◽  
Treatment Optimization ◽  
Visual Functions

Drug treatment optimization in primary open-angle glaucoma (POAG) is a topical issue of ophthalmology in recent decades. The review focuses on the choice of local hypotensive therapy and the effectiveness of a fixed combination (FC) of dorzolamide / timolol in glaucoma treatment. Since decreased perfusion eye pressure and disturbed regulation of local hemodynamics affect the development and progression of glaucomatous optical neuropathy, the use of anti-glaucomatous drugs or other hypotensive agents requires taking account of their effect on intraocular pressure (IOP), visual functions, and ocular blood flow. Most studies show that the hypotensive and hemodynamic effects of dorzolamide/timolol FC contribute to the preservation of visual fields in POAG patients by reducing significant risk factors for POAG progression, such as increased IOP and blood flow deficiency in the retinal and choroidal vessels. Improved hemodynamic parametersdue to local hypotensive treatment can be considered as basis for visual function stabilization, especially in long-term chronic courses of the disease.

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